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Ergonomics in Facial Plastic and Reconstructive Surgery: A Clinical Evaluation
Neha Garg1, Vivian Xu1, Shreya Mandloi1
1Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, U.S.A.
The Laryngoscope
|October 19, 2024
Summary
Facial plastic surgeons experience neck and back discomfort, often unaware of ergonomic guidelines. Improving posture in clinics is crucial for surgeon well-being and career longevity.
Area of Science:
- Surgical ergonomics
- Occupational health in medicine
- Musculoskeletal health in surgeons
Background:
- Surgeons face physical strain and injury risks due to demanding work.
- Awareness of ergonomic pitfalls and postural correction is vital for career longevity.
- Facial Plastic and Reconstructive Surgery (FPRS) involves significant physical demands.
Purpose of the Study:
- To investigate ergonomic trends in Facial Plastic and Reconstructive Surgery (FPRS) clinics.
- To quantify cervicothoracic spine posture in surgeons and trainees.
- To identify potential ergonomic risks in the surgical workplace.
Main Methods:
- A questionnaire assessed current ergonomic practices among participants.
- A lightweight device provided real-time posture feedback.
- The percentage of time in an upright posture was measured during clinical and operative workdays.
Main Results:
- Discomfort was most frequently reported in the neck, shoulders, and upper back during clinic.
- 82% of participants were unaware of ergonomic guidelines.
- Upright posture was significantly higher in clinic (84.9%) than in the operating room (53.5%).
- Upright posture declined after 6 work hours in clinic settings.
Conclusions:
- Ergonomics is a critical consideration in outpatient surgical settings, despite poorer objective posture in the OR.
- Surgeons report discomfort during and after clinic work.
- Further research is needed to develop actionable strategies for promoting healthy surgical ergonomics.
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